- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,020.00 / $4,048.00 / $8,451.00
| Facility | | $1,020.00 | $4,048.00 | $8,451.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,736.00 / $4,444.00 / $15,949.31
| Facility | | $3,736.00 | $4,444.00 | $15,949.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $450.48 / $450.48 / $450.48
| Facility | | $450.48 | $450.48 | $450.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,470.39 / $8,746.77 / $10,937.17
| Facility | | $4,470.39 | $8,746.77 | $10,937.17 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $1,872.50 / $1,872.50 / $1,872.50
| Facility | 50 | $1,872.50 | $1,872.50 | $1,872.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,151.00 / $4,894.00 / $10,247.00
| Facility | | $1,151.00 | $4,894.00 | $10,247.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $450.48 / $450.48 / $450.48
| Facility | | $450.48 | $450.48 | $450.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $347.65 / $385.77 / $385.77
| Facility | | $347.65 | $385.77 | $385.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $814.00 / $2,391.00 / $4,789.00
| Facility | | $814.00 | $2,391.00 | $4,789.00 |